Non-Surgical Skin Tightening

Lift, Firm & Tighten Sagging Skin Without Surgery or Downtime

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  • ExpertiseTop 1%Injector in the country
  • ExperienceOver 11,000Patients treated
  • Excellence590+Five star reviews

Why Choose Dr. Avaliani for Skin Tightening?

Loose, sagging skin develops as collagen and elastin break down with age, sun exposure, and gravity. Dr. Avaliani offers multiple FDA-cleared technologies that stimulate your body’s own collagen production to lift, firm, and tighten skin on the face, neck, and jawline, all without surgery, incisions, or extended downtime.

  • Advanced Technology

    Multiple FDA-cleared skin tightening platforms including Ultherapy, EMFACE, TempSure ENVI, Genius RF Microneedling, and PDO Threads, selected based on your specific concerns

  • Board-Certified Physician

    11+ years of aesthetic medicine experience. Dr. Avaliani personally evaluates every patient and designs customized tightening protocols for natural, lifted results

  • Minimal Downtime

    Return to your daily routine immediately after most treatments. No surgery, no incisions, no general anesthesia, just progressive lifting and tightening over weeks

  • A Reputation Built on Results

    5.0-star rating with 565+ verified patient reviews and proven skin tightening results that restore youthful facial contours

  • Personalized Approach

    Customized treatment plans using the right technology or combination of technologies for your skin laxity level, goals, and desired results

What Is Non-Surgical Skin Tightening?

Non-surgical skin tightening uses advanced energy-based devices to deliver controlled heat deep into the skin and underlying tissue, stimulating new collagen and elastin production. As these structural proteins rebuild over weeks and months, skin gradually lifts, firms, and tightens, restoring a more youthful, defined appearance without surgery or significant downtime.

At Dr. Avaliani’s practice, every skin tightening treatment is selected based on your unique anatomy and degree of laxity. Whether using focused ultrasound, radiofrequency, or absorbable threads, each technology triggers your body’s natural healing response to produce fresh collagen and elastin for firmer, more lifted skin.

How Non-Surgical Skin Tightening Works

Non-surgical skin tightening follows a proven, comfortable protocol:

  • Dr. Avaliani assesses your skin laxity, facial structure, and areas of concern to select the ideal technology and treatment plan
  • Focused energy (ultrasound, radiofrequency, or electromagnetic) is delivered to precise depths in the skin and underlying tissue
  • Controlled heating triggers the body’s natural wound-healing response, stimulating fresh collagen and elastin production
  • New structural proteins gradually rebuild, lifting and firming the skin from within over 2-6 months
  • Results continue improving for months after treatment as collagen remodeling progresses for a naturally lifted appearance

Areas of Concern We Treat

  • Jowls & Lower Face

    Sagging along the jawline and lower face that creates jowls and an undefined profile. Ultherapy, EMFACE, and PDO threads lift and tighten the lower face to restore a sharper, more youthful jawline contour.

  • Neck & Submental Area

    Loose neck skin, horizontal lines, and loss of definition between the chin and neck. Focused ultrasound and radiofrequency tighten neck skin and improve the cervicomental angle for a more defined profile.

  • Droopy Eyelids

    Heavy, hooded upper eyelids caused by skin laxity and loss of collagen around the eyes. Non-surgical brow lifting with Ultherapy or EMFACE opens the eye area and reduces eyelid heaviness for a more alert, refreshed look.

  • Nasolabial Folds

    Deepening smile lines from the nose to the corners of the mouth caused by volume loss and skin laxity. Skin tightening treatments stimulate collagen along these lines while lifting the midface for a smoother, more youthful appearance.

  • Forehead & Brow

    Brow descent and forehead lines caused by gravity and loss of skin elasticity. EMFACE and Ultherapy lift the brow position and tighten forehead skin for a naturally refreshed, more open appearance.

  • Cheeks & Midface

    Loss of volume and skin laxity in the midface and cheeks creates a tired, deflated look. Skin tightening technologies stimulate deep collagen to restore fullness and lift the midface for a rejuvenated, youthful contour.

Our Skin Tightening Technologies

Dr. Avaliani offers multiple advanced platforms for non-surgical skin tightening. Here’s what makes her approach exceptional:

  • Ultherapy®

    The only FDA-cleared non-invasive treatment that uses micro-focused ultrasound to lift skin on the face, neck, and chest. Ultherapy bypasses the skin surface to deliver precise energy at foundational depths, stimulating new collagen for a natural lift over 2-3 months.

  • EMFACE®

    A revolutionary device combining synchronized radiofrequency with HIFES electromagnetic energy. EMFACE simultaneously tightens skin and tones facial muscles for a naturally lifted, more defined appearance, no needles, no downtime.

  • TempSure® ENVI

    A radiofrequency device that delivers controlled heating to stimulate collagen production and tighten skin. TempSure ENVI is gentle enough for all skin types and provides gradual, natural-looking tightening with zero downtime.

Call us today to schedule your skin tightening consultation with Dr. Avaliani and take the first step toward firmer, more youthful-looking skin!

Does It Hurt?

Your comfort options (we tailor this to you)

Comfort varies by technology. Ultherapy delivers focused ultrasound energy that produces brief, tolerable sensations during treatment, numbing cream and Pro-Nox are available. EMFACE and TempSure ENVI feel like a warm facial massage. PDO thread insertion uses local anesthesia for complete comfort.

Dr. Avaliani prioritizes your comfort at every step. Pro-Nox (nitrous oxide) is available for all skin tightening treatments. Most sessions take 30-60 minutes, and patients can return to normal activities immediately. Results build gradually over 2-6 months as new collagen forms.

Feel Calm. Stay in Control. Look Amazing.

Learn about your comfort options ›
  • Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
  • Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
  • No downtimeWalk out feeling great and drive yourself home. No recovery time required.

Is Non-Surgical Skin Tightening Right for Me?

Ideal Candidates

You may be a good candidate if you:

  • Notice mild to moderate skin laxity on the face, neck, or jawline
  • Want to lift and firm sagging skin without surgery or extended downtime
  • Are experiencing jowls, droopy eyelids, or loss of facial definition from aging
  • Want to restore a more youthful, lifted appearance with natural-looking results
  • Are in good general health and have realistic expectations about gradual improvement
  • Want a customized plan using the right technology for your specific degree of laxity and goals

What Does Skin Tightening Cost?

  • Pricing Information

    The cost of non-surgical skin tightening depends on the technology selected, the treatment areas, and the number of sessions in your protocol. Price Range: Results build progressively over 2-6 months as new collagen production lifts and firms the skin During your consultation, Dr. Avaliani will evaluate your skin laxity, discuss your goals, and recommend the ideal technology with transparent pricing. Some patients achieve excellent results with a single Ultherapy session, while others benefit from a combination approach for maximum lifting.

View before & after gallery

Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.

Before and after imagery to be added for this treatment.

Non-Surgical Skin Tightening frequently asked questions

  • What causes sagging skin?

    Sagging skin develops as collagen and elastin break down due to aging, sun exposure, and gravity. Fat depletion and bone thinning also contribute to loose skin on the face, neck, and jawline. Genetics, lifestyle, and hormonal changes can accelerate the process.

  • How long do results last?

    Results from skin tightening treatments can last 1 to 3 years depending on the technology used. Ultherapy results typically last 1 to 2 years. EMFACE results can last up to 12 months. Maintenance sessions can extend your results and continue building collagen over time.

  • How many sessions will I need?

    Many patients see significant improvement after a single session of Ultherapy or EMFACE. Some protocols involve a series of 4 to 6 sessions spaced weeks apart. Dr. Avaliani will design the optimal treatment plan based on your degree of laxity and goals during your consultation.

  • Is there any downtime?

    Most skin tightening treatments require zero to minimal downtime. EMFACE and TempSure ENVI have no downtime at all. Ultherapy may cause mild redness or tenderness for a few hours. PDO threads may involve mild swelling for 3 to 5 days. You can return to normal activities the same day for most treatments.

  • When will I see results?

    Some patients notice an initial tightening effect immediately after treatment. The most significant results develop gradually over 2 to 6 months as your body produces new collagen and elastin. Full results from Ultherapy are typically visible at the 3 month mark.

  • Is skin tightening painful?

    Comfort varies by technology. EMFACE and TempSure feel like a warm facial massage. Ultherapy produces brief pulses of focused energy that are tolerable for most patients. Topical numbing cream and Pro-Nox nitrous oxide are available for enhanced comfort during any treatment.

  • Can I combine skin tightening with other treatments?

    Yes. Skin tightening pairs well with dermal fillers for volume restoration, Botox for wrinkle reduction, and laser resurfacing for texture improvement. Dr. Avaliani often combines complementary technologies for comprehensive facial rejuvenation during a single visit.

  • What areas can be treated?

    Non-surgical skin tightening can treat the forehead, brow, around the eyes, cheeks, midface, jawline, neck, chin, and décolletage. The most popular areas are the lower face and jawline for jowl reduction, and the brow area for eyelid lifting.

  • Am I too young for skin tightening?

    There is no minimum age for skin tightening. Many patients in their 30s and 40s use treatments like EMFACE as preventive measures to maintain facial contours and stimulate ongoing collagen production before significant laxity develops. Prevention is always easier than correction.

  • How is this different from a facelift?

    Non-surgical skin tightening uses energy-based devices to stimulate your body’s own collagen production for gradual, natural-looking improvement. A surgical facelift physically repositions tissue. Non-surgical options are ideal for mild to moderate laxity and offer zero to minimal downtime compared to weeks of surgical recovery.

Luxury treatments. Flexible payment options.

Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.

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30 East 60th Street, Suite 1100New York, NY, 10022(btw Park & Madison Ave)
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